| Edp Of Pennsylvania Pc | |
|
1390 Eisenhower Blvd Johnstown PA 15904-3216 | |
| (814) 535-5244 | |
| Not Available |
| Full Name | Edp Of Pennsylvania Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1390 Eisenhower Blvd, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Melissa Garibay (CREDENTIALING MNGR.) |
| Authorized Official Contact | 3127368963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edp Of Pennsylvania Pc 141 W Jackson Blvd Ste 210 Chicago IL 60604-3048 Ph: (312) 800-1270 | Edp Of Pennsylvania Pc 1390 Eisenhower Blvd Johnstown PA 15904-3216 Ph: (814) 535-5244 |
| NPI Number | 1366958407 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 09/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366958407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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